Biofilms: Biofilms: understanding understanding physiology for - - PowerPoint PPT Presentation

biofilms biofilms
SMART_READER_LITE
LIVE PREVIEW

Biofilms: Biofilms: understanding understanding physiology for - - PowerPoint PPT Presentation

Biofilms: Biofilms: understanding understanding physiology for developing physiology for developing new therapeutic strategies new therapeutic strategies Mohammad Shahrooei Mohammad Shahrooei & & Professor Johan Van Eldere


slide-1
SLIDE 1

Biofilms: Biofilms:

understanding understanding physiology for developing physiology for developing new therapeutic strategies new therapeutic strategies

Mohammad Shahrooei Mohammad Shahrooei & & Professor Johan Van Eldere Professor Johan Van Eldere October 5 October 5th

th, 2012

, 2012

slide-2
SLIDE 2

Contents Contents

  • Introduction to biofilms
  • Biofilms in infections and device‐related infections (DRI)
  • Staphylococcus spp. and staphylococcal biofilms in DRI
  • Prevention and treatment of staphylococcal biofilms
  • Immunological approaches: summary of our research
slide-3
SLIDE 3

What is a biofilm? What is a biofilm?

Structured communities of bacterial cells enclosed in a self‐produced polymeric matrix and adherent to an inert or a living surface.

A biofilm is like a tiny city in which microbial cells form towers. The "streets“ between the towers are fluid‐filled channels that bring in nutrients, oxygen and

  • ther necessities for live biofilm communities.
slide-4
SLIDE 4

Key characteristics of biofilms Key characteristics of biofilms

  • Biofilms are heterogeneous, complex, dynamic

structures, responsive to their environment

  • Biofilm cells have altered gene and protein expression

profiles and patterns compared to their planktonic counterparts

  • Biofilm cells can coordinate behavior via intercellular

communication using biochemical signaling molecules

(Quorum Sensing)

  • Biofilms are less susceptible to antimicrobial agents
slide-5
SLIDE 5

Mechanisms of biofilm resistance Mechanisms of biofilm resistance

  • Barrier properties of the matrix (restricted penetration)
  • Low metabolic activity, slow growth and stress

response

  • Antimicrobial destroying enzymes and gene transfer
  • Quorum sensing (QS)

and heterogeneity

  • Persisters, phenotypic subpopulation of bacteria that

survives antibiotic treatment

slide-6
SLIDE 6

Clinical importance of biofilms Clinical importance of biofilms

  • Notoriously resistant to immune system attack and

antimicrobial agents (up to 1500 times more resistant)

  • Biofilms have been found to be involved in a wide

variety (up to 80%)

  • f microbial infections
  • Biofilms lead to 5 million infections and 150,000 deaths in

USA and EU annually

  • Regularly, antimicrobial therapy fails without removal
  • f the implanted device
slide-7
SLIDE 7

Biofilms in infections Biofilms in infections

Infectious processes in which biofilms have been implicated include:

  • urinary tract infections
  • catheter infections
  • middle‐ear infections
  • sinusitis
  • formation of dental plaque, gingivitis
  • coating contact lenses
  • endocarditis
  • infections in cystic fibrosis
  • infections of permanent indwelling devices such as joint

prostheses and heart valves

slide-8
SLIDE 8

Device Device‐ ‐related related infections (DRI) infections (DRI)

slide-9
SLIDE 9

Device Device‐ ‐related related infections (DRI) infections (DRI)

  • Staphylococcus aureus

and coagulase‐negative staphylococci

(CoNS), in particular, S. epidermidis, have emerged as major

nosocomial pathogens associated with DRI, due to the facts that:

  • they are the most abundant skin‐colonizing bacteria
  • they are able to adhere to the surface and form a biofilm
  • Biofilm formation is one of the major virulence factor for

Staphylococcus spp.

slide-10
SLIDE 10

Staphylococcus spp. Staphylococcus spp.

  • Gram‐positive, non motile, non‐spore forming, spherical

bacterium, coagulase negative or positive

  • Arrange grape‐like clusters
  • Form white colonies 

1‐2 mm Ø after 24 h

  • Most are harmless and normal inhabitant of human skin

and mucous membranes

slide-11
SLIDE 11

Biofilm development in Biofilm development in Staphylococcus Staphylococcus spp. spp.

, and extracellular DNA

slide-12
SLIDE 12

Biofilm development in Biofilm development in Staphylococcus Staphylococcus spp. spp.

slide-13
SLIDE 13

Role of Role of ica ica

  • peron in staphylococcal biofilms
  • peron in staphylococcal biofilms

‐1, 6‐linked N‐ acetylglucosamine

Schematic procedure of PIA synthesis (a) and the gene arrangement in the ica

  • peron (b)
slide-14
SLIDE 14

Role of Role of ica ica

  • peron in staphylococcal biofilms
  • peron in staphylococcal biofilms
  • PIA is synthesized by enzymes encoded by ica
  • peron
  • PIA play a role in attachment and accumulation phases
  • Most of clinical isolates of CoNS and S. epidermidis

are ica+, PIA‐dependent biofilm‐forming strains

  • So far, all MRSA (methicillin‐resistant Staphylococcus aureus)

have been shown to be ica+, proteinaceous (PIA‐independent ) biofilm‐forming strains, whereas MSSA (methicillin‐resistant

Staphylococcus aureus)

can be ica‐/+, PIA independent/ dependent biofilm forming

slide-15
SLIDE 15

Preventive strategies Preventive strategies

  • Improvement of specific clinical practice guidelines
  • can decrease the incidence of DRI
  • Antimicrobial biomaterial
  • induction, generation and selection of resistance
  • Antimicrobial prophylaxis
  • high prevalence of antimicrobial resistance
  • Targeting essential biofilm factors
  • inhibition of enzymes involved in biofilm

biosynthesis

  • Immunoprophylaxis (need a vaccine)
slide-16
SLIDE 16

Treatment of biofilms Treatment of biofilms

  • Traditional approach is administration of antimicrobial

agents

  • Currently, the only effective treatment for biofilm infections is to

remove the implant, fight the infection with antibiotics, and replace the implant, a risky, costly and stressful procedure

  • QS perturbation to revert established biofilms
  • In a biofilm, agr

expression is limited to surface‐exposed area and agr mutants occur naturally in deeper layers

  • Immunological approaches
slide-17
SLIDE 17
  • S. aureus
  • S. aureus

and and S. epidermidis

  • S. epidermidis

vaccines vaccines

  • Active immunization

‐ Current and finished clinical vaccine trials using active immunization ‐ Merck V710 vaccine ‐ StaphVax developed by Nabi ‐ EpiVAX™ ‐ Vaccines in pre‐clinical development using active immunization ‐ Alpha‐toxin ‐ Panton‐Valentine leukocidin (PVL) ‐ PentaStaph (Nabi) ‐ Multi‐component adhesin vaccine ‐ Poly‐N‐acetylglucosamine (PNAG) ‐ Als3p (Novadigm): ‐ Iron‐regulated proteins (Syntiron/Sanofi Pasteur)

  • Passive immunization/therapeutic antibodies

‐ Passive immunization strategies in clinical trials ‐ Altastaph from individual treated with Nabi’s StaphVax ‐ Clumping factor (ClfA) targeted antibodies ‐ Aurograb ‐ Pagibaximab ‐ Passive immunization strategies in pre‐clinical development ‐ Alpha toxin ‐ PVL ‐ Superantigens

slide-18
SLIDE 18

Identification of potential vaccine targets for vaccination Identification of potential vaccine targets for vaccination against against S. epidermidis

  • S. epidermidis

biofilm formation biofilm formation

  • In silico selection of S. epidermidis surface (Ses) proteins. SP, signal

peptide;

TM, transmembrane helix; PBD, peptidoglycanbinding domain; CBD, choline‐binding domains

Ideal anti‐biofilm vaccine targets are surface components that were conserved across the species, in particular those which are highly expressed in the bloodstream and in biofilms, with a possible role in biofilm formation or an essential function

slide-19
SLIDE 19

Selection of best potential vaccine targets Selection of best potential vaccine targets

  • Five Ses proteins were selected based on the protein size, the

number of antigenic determinants and the importance of the protein family, to which the candidate protein belongs, in S. epidermidis biofilm formation and pathogenesis

slide-20
SLIDE 20

Recombinant Ses and anti Recombinant Ses and anti‐ ‐Ses antibody production Ses antibody production

  • Surface‐exposed part of Ses proteins were recombinantly expressed

in E. coli and polyclonal anti‐Ses antibodies were raised against them and specific anti‐Ses antibodies were purified using antigen‐ affinity purification

slide-21
SLIDE 21

Validation of expression of Ses proteins on the surface Validation of expression of Ses proteins on the surface

slide-22
SLIDE 22

Selection of best potential vaccine target Selection of best potential vaccine target

  • Biofilm inhibition was assessed in vitro, using the microtiter plate

assay

(Primary attachment) (Overnight biofilm formation)

Pre‐immune (□) Post‐immune (■)

slide-23
SLIDE 23

Effect of anti Effect of anti‐ ‐SesC IgG SesC IgG’ ’s on s on S. epidermidis

  • S. epidermidis

biofilms biofilms in vitro in vitro

Pre‐immune (□) Post‐immune (■)

  • S. epidermidis 10b
  • S. epidermidis 1457
  • S. warneri

Primary attachment Specific and dose-dependent effect Effect on 1-day established biofilms

slide-24
SLIDE 24

In vivo In vivo models models

Subcutaneous catheter (SC) rat model Jugular vein catheterized (JVC) mouse model

slide-25
SLIDE 25

Active and passive immunization Active and passive immunization

  • Effect of αSesC‐IgGs on 1‐day old biofilms in vivo (passive immunization)
  • Effect of immunization of rats with rSesC on biofilm formation (active

immunization)

Passive immunization Active immunization

60.42-fold 20-fold

slide-26
SLIDE 26

Effect of anti Effect of anti‐ ‐SesC on DRI in JVC model SesC on DRI in JVC model

24 h after the implantation, JVC mice were inoculated with 1.0E+8 CFU 10b pre‐ incubated with pre‐immune or αSesC‐IgG’s. 5 days after inoculation, the number of bacteria colonizing the catheter, organs or in blood stream was quantified by CFU

  • counting. * P<0.05; ** P<0.01; *** P<0.001
slide-27
SLIDE 27

Mechanism of function of anti Mechanism of function of anti‐ ‐SesC IgG SesC IgG’ ’s s

In vitro neutralization In vivo

  • psonization

Semi‐quantitative microtiter plate In vitro opsonophagocytosis assay

slide-28
SLIDE 28

SesC is associated with DRI SesC is associated with DRI in vivo in vivo

24 h after the implantation, JVC mice were inoculated with 1.0E+7 CFU S. aureus via the catheter lumen, 5 days after inoculation, the number of bacteria colonizing the catheter, organs or in blood stream was quantified by CFU counting. The error bars indicate the standard errors of the mean. * P<0.05; ** P<0.01; *** P<0.001

slide-29
SLIDE 29

SesC is associated with DRI SesC is associated with DRI in vivo in vivo

Effect of pre‐incubation with pre‐immune or αSesC‐IgG’s on S. aureus 8325‐4 strain and its sesC‐positive transformant

slide-30
SLIDE 30

Biofilm development in Biofilm development in Staphylococcus Staphylococcus spp. spp.

slide-31
SLIDE 31

SesC switches mechanism of biofilm formation SesC switches mechanism of biofilm formation in vitro in vitro

Transformation with sesC changes the phenotype of biofilm formation of PIA‐ dependent biofilm‐forming strains

* *

slide-32
SLIDE 32

SesC switches mechanism of biofilm formation SesC switches mechanism of biofilm formation in vitro in vitro

Transformation with sesC changes the phenotype of biofilm formation of PIA‐ dependent biofilm‐forming strains

* *

slide-33
SLIDE 33

SesC switches mechanism of biofilm formation SesC switches mechanism of biofilm formation in vitro in vitro

Transforamtion with sesC changes the phenotype of biofilm formation of PIA‐ dependent biofilm‐forming strains

* *

slide-34
SLIDE 34

SesC switches mechanism of biofilm formation SesC switches mechanism of biofilm formation in vitro in vitro

Transformation with sesC changes the phenotype of biofilm formation of PIA‐ dependent biofilm‐forming strains

* * * *

slide-35
SLIDE 35

SesC switches mechanism of biofilm formation SesC switches mechanism of biofilm formation in vitro in vitro

Transformation with sesC changes the phenotype of biofilm formation of PIA‐ dependent biofilm‐forming strains

* *

slide-36
SLIDE 36

SesC switches mechanism of biofilm formation SesC switches mechanism of biofilm formation in vitro in vitro

Transformation with sesC changes the phenotype of biofilm formation of PIA‐ dependent biofilm‐forming strains

* * * *

slide-37
SLIDE 37

Conclusions Conclusions

  • SesC plays a role in S. epidermidis biofilm formation
  • SesC might encode an essential function in S.

epidermidis

  • SesC might be a promising target for vaccine

development against S. epidermidis biofilm formation

slide-38
SLIDE 38

Acknowledgment Acknowledgment

  • Prof. Johan Van Eldere
  • Prof. Jozef Anne
  • Prof. Lieve Vanmellaert
  • Prof. Peter Hermans
  • Dr. Benoit Stijlemans
  • Prof. James P O’Gara
  • Dr. Elain Waters
  • Laleh and Ladan Khodaparast
  • Dorien Hofmans
  • Rita Merckx
  • and other colleagues in our lab
slide-39
SLIDE 39

Questions Questions